MEDICARE: DR. RUI YU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	13562	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689850695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUI YU MD

Provider Business Mailing Address
First Line	:	1750 E DESERT INN RD
Second Line	:	STE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 N LAMB BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-5420
Country	:	US
Telephone Number	:	702-851-7766
Fax Number	:	702-851-7760

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	12/09/2021

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Directions to “ DR. RUI YU MD” Practice Location

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